New Patient Form

If your pet is a new patient at our animal hospital in Charlotte, please fill out our New Patient Form using one of the options below. 

New Patient Form

Please provide us with the following information. 

Client Information

Note: At your first appointment at our hospital, we may ask to collect your driver's license and social security number for payment collection purposes. We will also require a photo copy of your license.

New Patient Information

IMPORTANT: Payment is required at the time services are performed.
I understand I am financially responsible to Sharon Lakes Animal Hospital for all charges incurred. I further agree in the event of non-payment to bear the cost of collection and/or court and legal fees should this be required.
By submitting this form, I agree to the above.

(704) 552-0647